Individual provider · Type 1 NPI

Lisa Avery

Substance Abuse Rehabilitation Facility · Tulsa, OK

NPI number 1790030872 Active

Practice location

6333 E Skelly Dr
Tulsa, OK 74135-6106

Call (918) 508-9212 Map

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1790030872

Lisa Avery's National Provider Identifier is 1790030872, issued on Jul 16, 2012. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 16, 2012.